Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Resin-Based Composite 4/> Surfaces Incisal Angle
Utica, NY
See all hospitals reporting HCPCS D2335 →Price type
MVHS, Inc.’s median price of $807 is 27% below the median hospital's median price ($1.1k), higher than 39% of the 584 hospitals reporting HCPCS D2335. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 2 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 3 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $193 | $193 | — | — | — | $193 – $193 |
| 4 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 5 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $221 | $221 | — | — | — | $221 – $221 |
| 6 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $221 | $221 | — | — | — | $221 – $221 |
| 7 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $221 | $221 | — | — | — | $221 – $221 |
| 8 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $221 | $221 | — | — | — | $221 – $221 |
| 9 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 10 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $243 | $243 | — | — | — | $243 – $243 |
| 11 | Excellus excellus bcbs medicare advantage other · outpatient | $807 | $807 | — | — | — | $807 – $807 |
| 12 | Humana humana medicare advantage other · outpatient | $807 | $807 | — | — | — | $807 – $807 |
| 13 | Medicare medicare other · outpatient | $807 | $807 | — | — | — | $807 – $807 |
| 14 | Optum vaccn optum other · outpatient | $807 | $807 | — | — | — | $807 – $807 |
| 15 | UnitedHealthcare uhc medicare advantage other · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 16 | Aetna aetna medicare advantage other · outpatient | $823 | $823 | — | — | — | $823 – $823 |
| 17 | WellCare wellcare medicare advantage other · outpatient | $831 | $831 | — | — | — | $831 – $831 |
| 18 | Humana humana military other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Tricare humana military other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Cigna mvp and cigna commercial other · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 21 | UnitedHealthcare uhc commercial case rate · inpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Aug 7, 2026
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